Organization
GLEN R DEAN DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN ROYDEN DEAN DDS MS (PRESIDENT)
(970) 241-1313
Entity
Organization
Contact information
Practice address
2525 NORTH 8TH STREET, SUITE 105, GRAND JUNCTION, CO 81501-8258
(970) 241-1313
(970) 241-5202
Mailing address
2525 NORTH 8TH STREET, SUITE 105, GRAND JUNCTION, CO 81501-8258
(970) 241-1313
(970) 241-5202
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
104423
CO
1223P0221X
Pediatric Dentistry
1356539922
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04015236
—
CO
Enumeration date
09/25/2006
Last updated
08/22/2020
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